Supportive Care Of Maine Llc | |
516 Mount Hope Ave Bangor ME 04401-4215 | |
(718) 298-2753 | |
Not Available |
Full Name | Supportive Care Of Maine Llc |
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Speciality | Psychologist - Clinical |
Location | 516 Mount Hope Ave, Bangor, Maine |
Authorized Official Name and Position | Raphael Lichtshcein (PRESIDENT) |
Authorized Official Contact | 7182984375 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Supportive Care Of Maine Llc 27 Randolph Rd Howell NJ 07731-8611 Ph: (718) 298-4375 | Supportive Care Of Maine Llc 516 Mount Hope Ave Bangor ME 04401-4215 Ph: (718) 298-2753 |
NPI Number | 1518681568 |
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Provider Enumeration Date | 10/03/2022 |
Last Update Date | 10/03/2022 |
Certification Date | 10/03/2022 |
Identifier | Type | State | Issuer |
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1518681568 | NPI | - | NPPES |
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